Evidence map›Paper›PMID 39624929›Full record

ArticleClinical transplantation2024

Attitudes Toward Use of an APOL1 Genetic Testing Chatbot in Living Kidney Donor Evaluation: A Focus Group Study.

James L Rogers, Jessica Gacki-Smith, Rochell Yacat, Catherine Wicklund, Debra Duquette, John Friedewald, Matthew Cooper, Alexander Gilbert, Akansha Agrawal, Elisa J Gordon

Abstract read
In one paragraph

Article in Clinical transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Contextual factors of implementing APOL1 genetic testing into living kidney donor clinical evaluation.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

James L RogersVanderbilt School of Medicine, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-4790-5152
Jessica Gacki-SmithCenter for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-7000-9014
Rochell YacatMedstar Georgetown Transplant Institute, Georgetown University Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0002-8500-6182
Catherine WicklundMyriad Genetics, Salt Lake City, Utah.ORCID https://orcid.org/0000-0001-5725-2872
Debra DuquetteDepartment of Medicine, Cardiology Division, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-4664-0495
John FriedewaldDepartment of Medicine, Division of Nephrology and Hypertension I Department of Surgery, Division of Transplantation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-9344-9928
Matthew CooperDivision of Transplantation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID https://orcid.org/0000-0002-3438-9638
Alexander GilbertDepartment of Medicine, Georgetown University Medical Center, Medstar Georgetown Transplant Institute, Washington, District of Columbia, USA.
Akansha AgrawalDepartment of Medicine, Division of Nephrology and Hypertension I Department of Surgery, Division of Transplantation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-2662-7023
Elisa J GordonDepartment of Surgery I Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0003-0969-1998

Funding

Integrating a culturally competent APOL1 genetic testing program into living donor evaluationR01DK128207 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI AGRAWAL, AKANSHA, FRIEDEWALD, JOHN J · 2021 to 2025
$3.3M
NIDDK NIH HHS R01 DK128207NIDDK NIH HHS R01DK128207NIHNorthwestern Memorial Hospital Dixon Translational Research Innovation Award
6 · The paper itself

Abstract

backgroundLiving kidney donor (LKD) candidates of African ancestry are increasingly asked to undergo Apolipoprotein L1 (APOL1) genetic testing during the donor evaluation process to better understand their risk of kidney disease. LKD candidates' attitudes about using a clinical chatbot on APOL1 remain unknown. This study builds on prior work to culturally adapt the Gia (Genetic Information Assistant) chatbot on APOL1 by assessing donor, recipient, and community member attitudes about the Gia chatbot for enhancing the integration of APOL1 testing into the LKD clinical evaluation workflow.

methodsThis study involved focus groups and a post-focus group survey in two US cities about the APOL1 Gia chatbot. Qualitative data were analyzed via thematic analysis, and descriptive statistics were used for demographic data.

resultsWe conducted 10 focus groups including 54 participants (25 LKDs, 23 community members, and 6 living donor kidney transplant recipients of African ancestry). Five themes emerged: (1) participants supported LKD candidates using the Gia chatbot before the nephrologist clinic visit, (2) participants were interested in undergoing APOL1 testing after using Gia, (3) APOL1 testing costs may influence LKD candidates' willingness to get tested, (4) patients of African ancestry may hold varying preferences for using chatbots in the healthcare setting, and (5) individual-level barriers may limit the use of Gia in the healthcare setting.

conclusionsIndividuals of African ancestry were highly receptive to integrating the APOL1 chatbot into LKD candidate clinical evaluation, which bodes well for integrating chatbots into the APOL1 clinical genetic testing process.

Indexed as

Apolipoprotein L1Focus GroupsGenetic TestingKidney TransplantationLiving DonorsAdultAgedDonor SelectionFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisAPOL1 protein, humanApolipoprotein L1African AmericanAfrican ancestry genetic counselingBlackcommunity engagementevaluationfocus groupsinformed consentkidney diseasepatient‐centeredtransplantation

Identifiers

PMID39624929
PMCPMC11612848

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.